BPJS Kesehatan

ASKES  

2013   2014  -­‐  2019  

 PT  ASKES  Trasnformed  into  BPJS  from  1  January  2014  

Ina  Medicare  

 Semula  Hanya  Untuk  Jaminan  Kesehatan  PNS  dan  Pensiunan  TNI/POLRI  +  Prts  Kem  +  Vet  

Universal  Coverage    2019  

Members    Chronic  Disease  

DM  Tipe2  (individual  treatment)  

PT  Askes  (Persero)  Family  Physician    

-­‐   Health  status  evaluaDon  and  feedback  -­‐   Health  care  cost    -­‐   Workshop  for  family  Physician  (DM  Type2)              by  endokrin  specialist    

-­‐   Members  Database  -­‐   Reminder  acDvity  -­‐   Health  Promote  (Media)  -­‐   Club  Chronic  for  Members  

-­‐   Comprehensive  &  ConDnued  Care        (Guidelines  à  Evidence    Based)              -­‐  Referral  to  the  advanced  level                        -­‐  Health  EducaDon                                -­‐  Health  Status  Monitoring                                          -­‐  PrescripDon  chronic  drugs  

MEDICAL  PROFESIONAL  ORGANIZATION  “INDONESIAN  SOCIETY  OF  ENDOCRINOLOGY  (PERKENI)”  

DM  Guidelines  

Hospital  (Medical  Specialist)  

• Referral  control  • Mentor  &  consultant  for  GP’s  

Disease Management Program (DM Type2)

Why  DM  Type  2:  “big  trigger”  for  other  chronic  Start  from  June  2010  

American Diabetes Association (ADA)

•  Co-develop curriculum •  International faculty

BPJS Kesehatan

•  Identification of physicians to be trained

Ministry of Health (MOH) •  Government endorsement

•  Working with Health Promotion Board & Directorate of Non-

Communicable Disease Control, Directorate BUKD and BUKR

Ditjen BUK

Indonesian Society of Endocrinology (PERKENI)

•  Co-develop curriculum •  Implement Training Program •  Accreditation to Internists & GPs

Program  Partners      

| 3

•  Overall program concept •  Bring together all parties •  Funding

Program Concept & FlowTraining programs over 5 years

| 4

GP  EducaWon  Program  

ConWnuing  EducaWon  

Program  

Internal  Medicine  program  

Internal Medicine General Practitioners (GPs)

PaWent    EducaWon  Program  

Patients

Diabetes Public Education program to run in parallel

Expert  Team  :  

 ADA,  PERKENI  SANOFI,  BPJS,  

MOH  

Adv  Board  Team:  MOH,  

PERKENI  ,    BPJS,  ADA,  SANOFI  

   

TOT Diabetes Module – Updated Progress 2012-14

•  Certi.ied  Internal  Medicines    =  250  Spesialist  

•  Total  Trained  GPs      =  1,879  GPs  

 

Population : 230 million GDP/capita +3000 USD

2780 internists*, 77 endocrinologists, 70,000 GPs ± 2000 diabetes educators